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DocuSign Envelope ID: B35E4B9AD0454B6B810EA1FF51698638 '(/(*$7,212)$87+25,7 '$2 &29(56+((7 TO BE COMPLETED BY DEPARTMENT/AGENCY Department Submitting: SCV HHS/Hospital AdministrationFiscal Year:Board
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Fill out the relevant dates and events in chronological order, ensuring accuracy and clarity in the information provided.
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Document history and certificate is a record of all the changes made to a document and a statement confirming its accuracy and authenticity.
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The document history and certificate must include a detailed record of all changes made to the document, as well as a statement certifying its accuracy and authenticity.
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